经内踝截骨胫骨骨膜移植治疗内侧距骨顶骨囊肿
Chinese Journal of Bone and Joint Injury(2018)
Abstract
目的 探讨经内踝截骨胫骨骨膜移植治疗内侧距骨顶骨囊肿的手术方法 及临床疗效.方法 回顾性分析自2014-01-2017-01经内踝截骨胫骨骨膜移植治疗的25例内侧距骨顶骨囊肿.比较术前及末次随访时疼痛VAS评分、AOFAS评分,末次随访时进行患者主观满意度评价.结果 25例均获得随访,随访时间平均26(18~37)个月.末次随访时患者主观满意度评价:15例非常满意,8例满意,2例尚可.末次随访时踝关节X线片显示内侧距骨顶骨囊肿消失,踝关节间隙正常,截骨端愈合;MRI显示带骨膜胫骨充分填充于原距骨囊肿区.末次随访时疼痛VAS评分为(0.9±0.9)分,较术前(5.3±1.3)分明显降低,差异有统计学意义(t =32.485,P<0.001).末次随访时AOFAS评分为(91.1±4.6)分,较术前(50.7±7.3)分明显增加,差异有统计学意义(t =23.682,P<0.001).结论 经内踝截骨胫骨骨膜移植治疗内侧距骨顶骨囊肿可以有效减轻患者踝关节疼痛,改善踝关节功能,但其适应证较窄.
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